Imc Care Home, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

107206761 Issued in CA

Legal business name

IMC CARE HOME, INC

Practice address

2103 E Ryan Ave
Fresno, CA 93720-4147

Phone

(559) 434-7371

Fax

(559) 515-6513

NPI assigned

Aug 18, 2014

Last updated

Aug 18, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irina Chernyakova

Title

Ceo/President

Phone

(559) 434-7371

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1386043065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E RYAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E RYAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204147",
            "telephone_number": "559-434-7371",
            "fax_number": "559-515-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC CARE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "CHERNYAKOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "559-434-7371"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "107206761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.